How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $1,318.26 | Facility | None | $117.49 | $117.49 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | None | $117.49 | $117.49 | $151.36 |
BCBS Minnesota Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $446.68 | Facility | None | $117.49 | $125.89 | $446.68 |
BCBS Minnesota Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $125.89 | Professional | None | $100.00 | $112.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $1,174.90 | Facility | None | $245.47 | $398.11 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $239.88 | Professional | None | $144.54 | $162.18 | $239.88 |
Health Partners Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $912.01 | Facility | None | $234.42 | $389.05 | $912.01 |
Health Partners Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $239.88 | Professional | None | $144.54 | $144.54 | $239.88 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $229.09 Typical High $524.81 | Facility | None | $151.36 | $229.09 | $524.81 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $138.04 Typical High $630.96 | Professional | None | $64.57 | $138.04 | $630.96 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Facility | None | $125.89 | $125.89 | $151.36 |
United Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $295.12 | Professional | None | $52.48 | $100.00 | $295.12 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | 53 · Discontinued | $23.44 | $23.44 | $30.20 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 25th of 51
$126
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.